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General NPI Number Information
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NPI Number | 1457719239
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Entity Type | Organization
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Legal Business Name | HUFFORD VISION & EYE CARE, PC
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 560 WEST MITCHELL SUITE 214
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City | PETOSKEY
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State | MI
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Zip | 49770
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Country | US
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Telephone | 231-582-9933
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Fax | 231-582-1155
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Provider Business Mailing Address
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Address Line | 225 STATE ST
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City | BOYNE CITY
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State | MI
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Zip | 49712-1202
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Country | US
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Telephone | 231-582-9933
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Fax | 231-582-1155
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN M HUFFORD
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Credential | O.D.
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Telephone | 231-582-9933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003206
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License Number State | MI
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